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toxins

Article Venomics and Cellular Toxicity of Thai Pit Vipers ( macrops and T. hageni)

Supeecha Kumkate 1, Lawan Chanhome 2 , Tipparat Thiangtrongjit 3, Jureeporn Noiphrom 4, Panithi Laoungboa 2, Orawan Khow 4, Taksa Vasaruchapong 2, Siravit Sitprija 1, Narongsak Chaiyabutr 2,* and Onrapak Reamtong 3,*

1 Department of Biology, Faculty of Science, Mahidol University, Ratchathewi, Bangkok 10400, ; [email protected] (S.K.); [email protected] (S.S.) 2 Farm, Queen Saovabha Memorial Institute, The Thai Red Cross Society, Pathumwan, Bangkok 10330, Thailand; [email protected] (L.C.); [email protected] (P.L.); [email protected] (T.V.) 3 Department of Molecular Tropical Medicine and Genetics, Faculty of Tropical Medicine, Mahidol University, Ratchathewi, Bangkok 10400, Thailand; [email protected] 4 Department of Research and Development, Queen Saovabha Memorial Institute, The Thai Red Cross Society, Pathumwan, Bangkok 10330, Thailand; [email protected] (J.N.); [email protected] (O.K.) * Correspondence: [email protected] (N.C.); [email protected] (O.R.)

 Received: 19 December 2019; Accepted: 13 January 2020; Published: 16 January 2020 

Abstract: The two venomous pit vipers, Trimeresurus macrops and T. hageni, are distributed throughout Thailand, although their abundance varies among different areas. No -specific antivenom is available for their bite victims, and the only recorded treatment method is a horse antivenom raised against T. albolabris crude . To facilitate assessment of the cross-reactivity of heterologous antivenoms, protein profiles of T. macrops and T. hageni were explored using mass-spectrometry- based proteomics. The results show that 185 and 216 proteins were identified from T. macrops and T. hageni venoms, respectively. Two major protein components in T. macrops and T. hageni venoms were serine protease and metalloproteinase. The toxicity of the venoms on human monocytes and skin fibroblasts was analyzed, and both showed a greater cytotoxic effect on fibroblasts than monocytic cells, with toxicity occurring in a dose-dependent rather than a time-dependent manner. Exploring the protein composition of snake venom leads to a better understanding of the envenoming of prey. Moreover, knowledge of venomics facilitates the selection of the optimum heterologous antivenoms for treating bite victims.

Keywords: Trimeresurus macrops; ; pit vipers; snake venom proteomics; cytotoxicity; U937 monocytes; fibroblasts

Key Contribution: This study revealed for the first time the venomic proteomes of the large-eyed pit viper (Trimeresurus macrops) and Hagen’s pit viper (T. hageni). Both are widespread across Thailand and Southeast . We quantitatively analyzed different protein clusters from these venoms. The cellular toxicity of the venoms on human fibroblasts and monocytes was also investigated.

1. Introduction Venomous pit vipers are snakes of the Crotalinae subfamily, characterized by two movable fangs and heat-sensing pit organs located bilaterally between the eye and nostril. Trimeresurus is a prominent pit viper and comprises the greatest number of known species [1]. Trimeresurus snakes are endemic to Asia; they are widely distributed, ranging from deserts to rainforests and in terrestrial, arboreal, and aquatic habitats. Trimeresurus bite victims have been reported in several geographic

Toxins 2020, 12, 54; doi:10.3390/toxins12010054 www.mdpi.com/journal/toxins Toxins 2020, 12, 54 2 of 13 regions, including Lao PDR [2], [3], [4], Thailand [5], [6], Sri Lanka [7], and [8]. In addition, green pit vipers were responsible for 58% of snakebites reported in in 2017 [9]. Trimeresurus venom varies in toxicity between species; prolonged clotting time is a significant symptom observed in humans [10], and tissue damage and hematotoxicity in bite victims have also been reported [11,12]. Since there is no species-specific antivenom available for Trimeresurus, except T. albolabris, the only treatment available for bite cases has been a hetero-specific antivenom [13]. Antivenoms raised in horses are the most common therapeutic agents for snakebite treatment; however, they can cause several side effects, such as anaphylactic shock and serum sickness [14]. Moreover, preparation of antivenom from horse blood is laborious and time-consuming with a low production yield [15]. According to proteomics studies, each specific venom contains a unique variety of toxins [16]. To date, T. insularis (Indonesian), T. borneensis (), T. stejnegeri (Taiwan), T. puniceus (), T. purpureomaculatus (Thailand), T. gramineus (), T. nebularis (), and T. alborabris (Thailand) have been investigated for their venom constituents [17–19]. However, there is no reported information on the venomic protein profile of the endemic species T. macrops and T. hageni. The large-eyed pit viper T. macrops can be distinguished from other green pit vipers by its relatively large eyes (Figure1a). T. macrops bites frequently cause severe tissue damage in humans with the symptoms ranging from local swelling to severe systemic bleeding [20]. Its venom has a long half-life and can be retained within the human body for more than 14 days [21]. T. hageni, known as Hagen’s pit viper is also endemic to Southeast Asia (Figure1b); however, there are only a few reports of the major symptoms of T. hageni venom. In addition, no T. macrops or T. hageni species-specific antivenoms are available. The antivenom raised from T. albolabris is currently used for neutralizing T. macrops and T. hageni venoms. In our study, a comparative proteomics approach was applied to the study of T. macrops and T. hageni venom protein composition. Moreover, we assessed the cytotoxicity of T. macrops and T. hageni venoms on monocytic cells (U937 cells) and skin fibroblasts (CRL-1474 cells) to clarify the effects on cellular physiology. The findings facilitate the analysis of cross-reactivity between these snake toxins and the available antivenoms. The identified toxins may be used for the development of inhibitory or neutralizing agents using molecular techniques to improve snakebite treatment. In addition, some proteins with beneficial activities could be further developed as novel pharmacological agents for human disease.

Figure 1. Two prominent species of Trimeresurus snakes in Thailand. Adult large-eyed pit viper (T. macrops) with its noticeably large eyes (a) and the Hagen’s pit viper (T. hageni) perching on a tree branch (b). 2. Results

2.1. Proteomics Analysis of T. macrops and T. hageni Venom After preparing venom from T. macrops and T. hageni, the proteins were separated on 12% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) (Figure2). Bands at 15, 25, 35, 50, and Toxins 2020, 12, 54 3 of 13

55 kDa were the most abundant in T. macrops venom. Whereas, bands at 15, 16, 20, 22, 32, 55, and 66 kDa were the most intense in T. hageni venom. Each gel lane was excised into 10 pieces. Peptides were extracted from the gel by in-gel digestion and further subjected to liquid chromatography–mass spectrometry (LC-MS/MS) analysis. After MASCOT searching against NCBI (: Chordata), the results revealed that the T. macrops and T. hageni venoms contained 185 and 216 proteins, respectively (Supplementary Table S1). The identified proteins were classified according to their gene ontology, including molecular function, biological process, and cellular component terms (Table1).

Figure 2. Coomassie blue-stained 12% sodium dodecyl sulfate polyacrylamide gel electrophoresis of T. macrops and T. hageni venoms (30 µg) under reducing conditions.

Table 1. Gene ontology classification of Trimeresurus macrops and T. hageni crude venom proteins.

% of Protein Components Gene Ontology T. macrops T. hageni Molecular Function binding (GO:0005488) 12.5 33.3 catalytic activity (GO:0003824) 75.0 44.4 structural molecule activity (GO:0005198) 12.5 - molecular function regulator (GO:0098772) - 22.2 Biological Process biological regulation (GO:0065007) 36.4 20.0 cellular process (GO:0009987) 27.3 26.7 metabolic process (GO:0008152) 9.1 6.7 rhythmic process (GO:0048511) 27.3 20.0 immune system process (GO:0002376) - 6.7 response to stimulus (GO:0050896) - 6.7 localization (GO:0051179) - 13.3 Cellular component cell (GO:0005623) 25.0 33.3 extracellular region (GO:0005576) 12.5 16.7 membrane (GO:0016020) 12.5 - organelle (GO:0043226) 37.5 50.0 protein-containing complex (GO:0032991) 12.5 - Toxins 2020, 12, 54 4 of 13

In terms of molecular function, most T. macrops (75%) and T. hageni (44.4%) venom proteins were involved in catalytic activity. Structural molecule activity proteins were observed only in T. macrops venom and represented 12.5% of the proteins. Whereas, molecular function regulators comprised 22.2% of T. hageni venom proteins. In terms of biological processes, proteins involved in biological regulation and cellular processes were the largest classes present in T. macrops (36.4%) and T. hageni (26.7%) venoms, respectively. While immune system process, response to stimulus, and localization proteins were found only in T. hageni venom. In terms of cellular processes, organelle proteins were found in both T. macrops (37.5%) and T. hageni (50%) venoms. Whereas, membrane and protein-containing complex molecules were presented only in T. macrops venom. Phospholipase A2 (PLA2), snake venom serine protease (SVSP), cysteine-rich secretory, snake venom metalloproteinase (SVMP), disintegrin, L-amino acid oxidase, and C-type lectin were common to the two snake venoms. These protein families contribute to the phenotypic effects of venom on victims. Therefore, all identified proteins were also classified according to the common properties of snake venom, as shown in Figure3. PLA2, SVSP, cysteine-rich secretory, SVMP, and disintegrin were more abundant in T. macrops venom. Whereas, L-amino acid oxidase and C-type lectin were more abundant in T. hageni venom. Due to protein semi-quantification, the exponentially modified protein abundance index (emPAI) was used to estimate the amount of proteins. The 20 most abundant proteins in T. macrops and T. hageni venoms are displayed in Tables2 and3, respectively.

Figure 3. Proteome classification of T. macrops (blue) and T. hageni (orange) venoms; proteomes were classified according to common functions of snake venom. Toxins 2020, 12, 54 5 of 13

Table 2. Top-20 unique proteins identified in T. macrops crude venom.

Accession No. of % Sequence No. Protein Family Score M.W. pI emPAI No. Peptide Coverage 1 gi|299493 Thrombin-like proteinase Protease 99 2737 2 54.2 4.31 4.69 2 gi|46395675 Cysteine-rich venom protein tripurin Toxin activity 86 3971 2 33.3 9.19 2.76 3 gi|13959432 Acidic phospholipase A2 5 Toxin activity 442 13,870 4 27.9 4.72 2.74 4 gi|67462321 Disintegrin trigramin-gamma Protease 111 7568 2 28.8 4.61 2.17 5 gi|697351484 Chain A, crystal structure of an acidic Pla2 Toxin activity 443 13,710 4 36.4 4.81 2.03 6 gi|60593434 Chain A, crystal structure of stecrisp Toxin activity 238 25,112 4 18.1 5.53 1.12 7 gi|20177994 Acidic phospholipase A2 6 Toxin activity 146 15,712 3 21 4.72 0.79 10 gi|538259813 Galactose binding lectin, partial CHO binding 79 17,654 3 23 5.72 0.69 11 gi|3552036 Pallase Protease 151 26,162 3 19.4 5.89 0.62 12 gi|344268956 Phorbol-12-myristate-13-acetate-induced protein 1 Apoptotic process 36 6008 1 12.7 10.06 0.60 14 gi|13959429 Basic phospholipase A2 2 Toxin activity 130 7813 1 14.3 8.49 0.45 15 gi|82094948 Bradykinin-releasing enzyme KR-E-1 Protease 102 25,335 3 13.2 4.82 0.45 16 gi|123894851 Snake venom metalloproteinase Protease 364 68,673 7 12.2 6.4 0.39 17 gi|13959619 Snake venom serine protease 2B Protease 71 28,915 3 17.3 5.54 0.39 18 gi|538259847 5’-nucleotidase Nucleotidase activity 203 57,055 7 15.1 8.27 0.32 19 gi|32469800 Thrombin-like enzyme contortrixobin Protease 102 25,396 3 13.2 4.95 0.28 20 gi|143681919 Thrombin-like enzyme kangshuanmei Protease 99 26,415 2 14.8 8.27 0.27 Toxins 2020, 12, 54 6 of 13

Table 3. Top-20 unique identified proteins from T. hageni crude venom.

Accession No. of %Sequence No. Protein Family Score M.W. pI emPAI No. Peptides Coverage 1 gi|82130933 Snaclec coagulation factor IX-binding protein subunit A Toxin activity 145 14,631 4 31.8 4.92 1.31 2 gi|67462321 Platelet aggregation activation inhibitor Protease 162 7568 2 28.8 4.61 1.16 3 gi|60593434 Chain A, crystal structure of stecrisp Toxin activity 174 25,112 5 21.7 5.53 1.12 4 gi|3914268 Acidic phospholipase A2 2 Toxin activity 155 13,784 4 38.5 4.95 0.94 5 gi|538259791 C-type lectin factor IX/X binding protein A subunit, CHO binding 122 14,688 3 30 4.92 0.87 6 gi|32469800 Thrombin-like enzyme contortrixobin Protease 450 25,396 6 18.4 4.95 0.85 Chain A, crystal structure of a platelet agglutination factor 7 gi|39655009 Protease 227 15,718 5 26.7 5.09 0.79 isolated from the venom of Taiwan Habu 8 gi|126130 Galactose-specific lectin CHO binding 55 16,281 4 31.1 5.54 0.76 9 gi|565235162 hypothetical protein L345_18387, partial Unknown 36 5242 1 37.5 3.63 0.7 10 gi|13959617 Snake venom serine protease 1 Protease 150 27,923 6 22.5 5.66 0.57 11 gi|13959432 Acidic phospholipase A2 5 Toxin activity 65 13,870 2 11.5 4.72 0.55 12 gi|82201344 Basic phospholipase A2 homolog Ts-R6 Toxin activity 56 15,477 5 24.8 8.5 0.49 13 gi|129417 Acidic phospholipase A2 1 Toxin activity 62 15,524 2 10.1 6.54 0.48 14 gi|356581537 Beta-defensin-like protein 10 Chemokine receptor binding 14 7492 1 9 9.73 0.48 15 gi|59727030 D1E6b phospholipase A2 Toxin activity 85 15,959 2 10.1 4.79 0.47 16 gi|360797 Flavoxobin Protease 158 25,725 5 13.6 5.2 0.44 17 gi|538259853 Phosphodiesterase Magnesium binding 128 96,526 15 17 8.03 0.44 18 gi|676251620 Neurofibromin, Phosphatid-ylcholine binding 30 7991 1 8.6 8.66 0.44

19 gi|538259847 50-nucleotidase, Nucleotidase activity 177 57,055 10 19.5 8.27 0.4 20 gi|632991866 Transmembrane protein 184B-like Unknown 52 9150 1 13.1 5.65 0.37 Toxins 2020, 12, 54 7 of 13

2.2. Cellular Toxicity of T. macrops and T. hageni Venoms on U937 Monocytic Cells and CRL-1474 Skin Fibroblasts At the physiological level, Trimeresurus venoms possess a hematotoxic effect; however, the influence of these venoms at the cellular level on immunopotent, blood-inhabited mononuclear cells remains unknown. The cytotoxic effects of T. macrops and T. hageni venoms on U937 monocytes was examined using the 3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay (Figure4). There was no remarkable cytotoxic of T. macrops venom on U937 cells (Figure4a,b). Monocytic cells seemed to be more susceptible to T. hageni than T. macrops venoms, as a sharp decrease in viable cells could be detected at 24 h for 0.5 mg/mL (p < 0.001) (Figure4c). The cytotoxicity increased as the concentration of T. hageni venom increased, indicating a concentration-dependent action. In addition, a similar toxicity pattern was found when U937 cells were exposed to this species’ venom for 72 h, and the LC50 values of T. hageni were 0.66 and 0.90 mg/mL at 48 and 72 h, respectively.

Figure 4. Cytotoxicity of Trimeresurus macrops and T. hageni venoms on human monocytic cells determined by 3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay. U937 cells were treated with 0 to 3 mg/mL T. macrops venom for 48 (a) and 72 h (b) or with 0 to 3 mg/mL of T. hageni venom for 48 (c) and 72 h (d). Percentage U937 cell viability of venom-treated compared with non-venom treated cells (control). Data represent the mean standard error of mean (SEM) from three independent experiments, ± ** p < 0.01, *** p < 0.001.

Because skin is the first organ to encounter the venom after a snakebite and severe dermal tissue damage is frequently reported for Trimeresurus cases, the effects of these pit viper venoms on skin fibroblasts were investigated (Figure5). In comparison with monocytic cells, fibroblasts were more sensitive to both T. macrops and T. hageni venoms. Fibroblast cell viability substantially reduced after exposure to 0.1 mg/mL of T. macrops at 48 h (p < 0.05), and the decline persisted as the concentration of venom increased (Figure5a), and there was a comparable cytotoxicity at 72 h (Figure5a,b). LC 50 values of T. macrops were 0.23 mg/mL at both 48 and 72 h. Compared with T. macrops, T. hageni venom showed negligible toxicity to fibroblasts. (Figure5c,d). Concerning the relatively high LC 50 doses, it should be considered that crude venom have been used in these experiments and that there is possible low synergic biological effects among the enzymes and other proteins in the venom of both snakes. Toxins 2020, 12, 54 8 of 13

Figure 5. Cytotoxicity of Trimeresurus macrops and T. hageni venoms on human skin fibroblasts determined by 3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyl tetrazolium bromide assay. CRL-1474 skin fibroblasts were treated with 0 to 0.3 mg/mL T. macrops venom for 48 (a) and 72 h (b) or with 0 to 0.5 mg/mL T. hageni venom for 48 (c) and 72 h (d). Percentage CRL-1474 fibroblast cell viability of venom-treated compared with non-venom treated cells (control). Data represent the mean standard error of mean (SEM) from two ± independent experiments, * p < 0.05, ** p < 0.01 and *** p < 0.001.

3. Discussion The protein patterns differed between T. macrops and T. hageni venoms, which was indicative of the non-identical protein composition of the two venoms. T. macrops and T. hageni venoms also demonstrated different protein patterns from T. borneensis, T. gramineus, T. puniceus, T. purpureomaculatus, T. stejnegeri, and flavoviridis [22]. All proteins of both venoms were classified according to their gene ontologies. In terms of molecular function, proteins involved in catalytic activity were the most abundant in both venoms, which corroborates the gene ontology analysis of platypus venom [23]. This protein class includes hemolytic and proteolytic proteins that play important roles during prey acquisition. The main functions of snake venom are to lubricate and immobilize prey. Several protein families have been found to be common in snake venoms, including phospholipase, serine protease, cysteine-rich secretory, metalloproteinase, disintegrin, L-amino acid oxidase, and c-type lectin. Our data show that in T. hageni venom, the abundance of proteins of the phospholipase, serine protease, metalloproteinase, disintegrin, L-amino acid oxidase, and c-type lectin families was higher than in T. macrops venom. However, no cysteine-rich secretory proteins were observed in T. hageni venom. The two snake species produce biologically active substances in their venom capable of weakening prey to facilitate their capture. Phospholipase can hydrolyze glycerophospholipids to fatty acids and other lipophilic compounds [24]. This protein family from dangerous snake venoms has been reported to affect the peripheral neuromuscular system [25]. In addition, purified phospholipase A2 originating from various snake venoms have been shown to possess anticoagulant properties [26]. Agkistrodon halys blomhoffii [27] and A. palas [28] phospholipase A2 show antibacterial activity. The acidic phospholipase A2 5 (gi|13959432), acidic phospholipase A2 6 (gi|20177994), and basic phospholipase A2 2 (gi|13959429) were one of the twenty most abundant proteins in T. macrops crude venom. While, acidic phospholipase A2 2 (gi|3914268), acidic phospholipase A2 5 (gi|13959432), basic phospholipase A2 homolog Ts-R6 (gi|82201344), acidic phospholipase A2 1 (gi|129417), and D1E6b phospholipase A2 (gi|59727030) were among the 20 most abundant proteins in T. hageni crude venom. Although phospholipases were abundance proteins identified in both T. macrops and T. hageni. Their biological activities such as neuromuscular, anticoagulant, and antibacterial require further experiment for characterization. Toxins 2020, 12, 54 9 of 13

Serine proteases have been reported to effect blood coagulation systems, e.g., the fibrinolytic system [29]. Some venom serine proteases are not susceptible to hirudin, heparin, or the most endogenous serine protease inhibitors. A few venom serine proteases can activate coagulation factor V, protein C, plasminogen, and platelets [30]. Snake venom serine protease 2B (gi|13959619) and snake venom serine protease 1 (gi|13959617) were found in abundant proportions in T. macrops and T. hageni crude venoms, respectively, and similarly to serine proteases of other snake venoms, they may disturb prey blood coagulation, resulting in severe bleeding. Venom metalloproteinases are also exceedingly toxic; these enzymes interfere with blood coagulation and hemostatic plug formation and destroy cell membranes and the extracellular matrix [31]. Snake venom metalloproteinase (gi|123894851) was abundant in T. macrops crude venom and may fulfil the same role as in other snake venoms. Disintegrins are cysteine-rich peptides ranging from 45 to 84 amino acids in length and are non-enzymatic proteins found in the venom of numerous snake families. Their influence on platelet aggregation and integrin-dependent cell adhesion has been reported [32]. The proteolysis resistance of these proteins results in a sustained half-life in the blood of prey [33]. Disintegrin trigramin-gamma (gi|67462321) was predominantly found in T. macrops crude venom and plays a similar role as in other snake venoms. L-amino acid oxidase accelerates the oxidation of amino acids [34] and can cause plasma clotting disorders as well as inducing apoptosis in various cell lines [35]. L-amino acid oxidase was found in high concentrations in T. macrops and T. hageni and may contribute to the toxicity of the venoms. C-type lectin protein is a non-enzymatic, calcium dependent protein that binds sugar residues [36]. Many snake venom c-type lectin-like proteins target coagulation factors [37]. The Southeast Asian T. albolabris c-type lectin protein binds directly to the von Willebrand factor receptor, which has key functions in both the hemostatic and thrombotic pathways, leading to platelet agglutination [38]. In contrast, c-type lectin protein found in the Asian viper Echis carinatus inhibits platelet agglutination [39]. C-type lectin-like proteins were found in T. macrops and T. hageni venoms and may have similar functions in blood coagulation and platelet activation. Cysteine-rich secretory protein is a single-chain bioactive polypeptide identified in several organisms, including snakes [40], [41], and [42]. Snake venom cysteine-rich secretory protein can block smooth muscle contraction by blocking l-type calcium channels [43]. Moreover, this protein inhibits cyclic nucleotide-gated ion channels, which are significant in various sensory pathways, including vision and olfaction, as well as in other key cellular functions, such as hormone release and chemotaxis [44]. The cysteine-rich secretory protein family was identified in T. hageni, but not T. macrops, venom. The biological activity of these proteins may include effects on prey vision and olfaction. Several studies have demonstrated the cytotoxicity of crude snake venom on human cell lines using in vitro assays, e.g., Lachesis muta venom on keratinocytes [45], and Ophiophagus hannah and Echis carinatus on pancreatic tumor cells [46]. Both T. macrops and T. hageni showed cytotoxicity towards human monocytes and skin fibroblasts. However, the latter exhibited a greater sensitivity to both Trimeresurus venoms, indicating a greater abundance of molecular targets for proteolytic enzymes. In addition, Foxo-3-mediated oxidative stress DNA damage leading to cellular senescence was recently reported in fibroblasts exposed to non-lethal doses of Naja siamensis, Naja melanoleuca, and Dendroaspis viridis venoms [47]. Such effects could also be stimulated by pit viper venoms. There is an agreement between the monocyte toxicity and the proteomics results, as T. hageni contained more venomous biological substances, and the venom contained members of the cysteine-rich secretory protein family. Indeed, the discrepancy in fibrinogen pseudo-procoagulant clotting potency and Green Pit Viper antivenom neutralization efficacy between T. macrops and T. hageni was recently revealed [48], reflecting the fundamental evolutionary differences among the different Trimeresurus species. An in-depth study of other relevant physiologic effects would be beneficial in the continuing characterizations of the clinical effects of T. macrops and T. hageni venoms. The information would also facilitate the use of antivenom for treating bite victims. In addition, some venom components may be useful in the development of novel therapeutic agents for human diseases. Toxins 2020, 12, 54 10 of 13

4. Materials and Methods

4.1. Venom Collection The study has been reviewed and approved by the committee in accordance with Queen Saovabha Memorial Institute regulations and policies governing the care and use of laboratory (QSMI-ACUC-01-2018). The venoms of T. macrops and T. hageni were extracted from individual snakes and kept in a 1.5 mL microcentrifuge tubes. After being weighed, the fresh (liquid) venoms were immediately frozen at 20 C and lyophilized. The dry (lyophilized) venoms were pooled (from at − ◦ least three snakes) and stored at 20 C for use in this study. − ◦ 4.2. T. macrops and T. hageni Venom Protein Separation Crude venoms of T. macrops and T. hageni were mixed with lysis buffer (containing 1% Triton X-100 (Merck, Germany), 1% sodium dodecyl sulfate (SDS) (Merck, Darmstadt, Germany), and 1% NaCl (Merck, Germany). The venoms were analyzed for their estimated protein concentration by Quick Start™ Bradford Protein Assay (Bio-Rad, Berkeley, CA, USA). A 30 µg sample of T. macrops and T. hageni venom solutions were separated by 12% SDS-PAGE (Bio-Rad, CA, USA) and stained by Coomassie R-250 solution (Bio-Rad, CA, USA). A whole lane of each venom was excised into 10 pieces and further subjected to in-gel digestion.

4.3. In-Gel Digestion A 50% acetonitrile (ACN) in 50 mM ammonium bicarbonate solution was used for destaining the blue color from gel slides. Venom proteins were reduced by 4 mM dithiothreitol and incubated at 60 ◦C for 15 min. The reduced proteins were further alkylated by 250 mM iodoacetamine (Sigma-Aldrich, Saint Louis, MO, USA) and incubated at room temperature for 30 min in the dark. The gel pieces were dehydrated by removing all solution and adding 100% ACN (Thermo Scientific, Waltham, MA, USA). For tryptic digestion, trypsin (Sigma-Aldrich, USA, T6567) in 50 mM ammonium bicarbonate (Sigma-Aldrich, USA) was added to rehydrate the gels and incubated overnight at 37 ◦C. The peptide was extracted by adding 100% ACN and incubating for 15 min. The solution was transferred into a new microcentrifuge tube and dried using centrifugal concentrator (TOMY, Katsushika, Japan). The peptide mixtures were stored at 20 C prior to mass spectrometric (MS) analysis. − ◦ 4.4. Mass Spectrometric Analysis Venom peptides were dissolved in 0.1% formic acid (Sigma-Aldrich, USA) and subjected to an Ultimate® 3000 Nano-LC system analysis (Thermo Scientific, USA). The peptides were eluted and infused with a microTOF-Q II (Bruker, Bremen, Germany). The acquisition was operated by HyStar™ version 3.2 (Bruker, Germany). The data were processed and converted to mascot generics files (.mgf) using Compass DataAnalysis™ software version 3.4 (Bruker, Germany). The database search was performed using Mascot Daemon software (Matrix Science, Boston, MA, USA) against Chordata NCBI database with the following parameters: one missed cleavage site, variable modifications of carbamidomethyl (C) and oxidation (M), 0.8 Da for MS peptide tolerance, and 0.8 Da for MS/MS tolerance. The significance threshold was set at 95%. Three biological replications were performed for protein identification. The obtained proteins were classified according to their gene ontology using Blast2Go software.

4.5. Cell Culture Human monocytic cells (U937 cell line from CLS cell line service) and normal human skin fibroblast cell line (CRL-1474 from ATCC) were cultured in RPMI 1640 (Invitrogen, Carlsbad, CA, USA) and D-MEM (Invitrogen), respectively. Media were supplemented with 10% fetal calf serum (Sigma-Aldrich, Saint Louis, MO, USA), 2 mM L-glutamine, penicillin (100 units/mL), and streptomycin (100 µg/mL). Toxins 2020, 12, 54 11 of 13

The cells were incubated in 5% CO2 at 37 ◦C and sub-cultured every 3 days. The morphology was monitored under an inverted microscope (CX1 Olympus, Tokyo, Japan).

4.6. Venom Cytotoxicity on Monocytic Cell (U937 Cell) and Skin Fibroblasts (CRL-1474) U937 cells at a density of 2.5 105 cells/mL and fibroblasts at 105 cells/mL were seeded into a × well of 96-well plate and cultured for 24 h. The solution was discarded from each well. T. macrops and T. hageni crude venoms were added to U937 cells (at concentration ranging from 0 to 3 mg/mL), and fibroblasts (at concentration ranging from 0 to 0.5 mg/mL) and further incubated for 48 and 72 h. To examine cell viability, 10 µL of 5 mg/mL MTT was added to each well. The reaction was incubated in 5% CO2 at 37 ◦C for 4 h. The absorbance of formazan product was measured at 570 nm by an Infinite M200 PRO microplate reader (Tecan, Mannedorf, Switzerland). The percentage of cell viability was calculated relative to the untreated control cells.

4.7. Statistical Analysis Quantitative data are presented as mean SEM. Statistical significance between groups was ± analyzed using standard t-tests or two-way ANOVA followed by the Bonferroni test. Significant p-values are indicated within the figure panels. Error bars indicate SEM.

Supplementary Materials: The following are available online at http://www.mdpi.com/2072-6651/12/1/54/s1, Supplementary Table S1. T. macrops and T. hageni venom proteins identified by proteomics (XLSX 558 KB). Author Contributions: Conceptualization S.K., L.C., J.N., O.K., T.V., S.S., N.C. and O.R.; Methodology, S.K., L.C., T.T., J.N., O.K. and O.R.; Software, T.T. and O.R.; Validation, L.C. and O.R.; Formal analysis, S.K., J.N. and O.R.; Investigation, S.K., T.T. and J.N.; Resources, L.C., P.L. and T.V.; Data curation, S.K., L.C., J.N., P.L. and O.R.; Writing—original draft preparation, O.R.; Writing—review and editing, S.K. and O.R.; supervision, S.S. and N.C. project administration, S.S.; funding acquisition, S.S. All authors have read and agreed to the published version of the manuscript. Funding: This research was funded by Center of Excellence on Biodiversity, grant number BDC-PG4-161009. Acknowledgments: We thank the Central Equipment Unit, Faculty of Tropical Medicine, Mahidol University for facilitating the equipment. Conflicts of Interest: The authors declare no conflict of interest.

References

1. Arruda, L.K.; Santos, A.B. Immunologic responses to common antigens in helminthic infections and allergic disease. Curr. Opin. Allergy Clin. Immunol. 2005, 5, 399–402. [CrossRef] 2. Malhotra, A.; Thorpe, R.S. A phylogeny of the Trimeresurus group of pit vipers: New evidence from a mitochondrial gene tree. Mol. Phylogenet. Evol. 2000, 16, 199–211. [CrossRef] 3. Kurohmaru, M.; Matsui, T.; Igarashi, H.; Hattori, S.; Hayashi, Y.Distribution of actin filaments in the seminiferous epithelium of the Habu, Trimeresurus flavoviridis. Anat. Histol. Embryol. 2019, 48, 505–507. [CrossRef] 4. Blessmann, J.; Nguyen, T.P.N.; Bui, T.P.A.; Krumkamp, R.; Vo, V.T.; Nguyen, H.L. Incidence of snakebites in 3 different geographic regions in Thua Thien Hue province, central Vietnam: Green pit vipers and cobras cause the majority of bites. Toxicon 2018, 156, 61–65. [CrossRef][PubMed] 5. Blessmann, J.; Khonesavanh, C.; Outhaithit, P.; Manichanh, S.; Somphanthabansouk, K.; Siboualipha, P. bites in Lao PDR: A retrospective study of 21 snakebite victims in a provincial hospital. Southeast Asian J. Trop. Med. Public Health 2010, 41, 195–202. [PubMed] 6. Hon, K.L.; Kwok, L.W.; Leung, T.F. Snakebites in children in the densely populated city of Hong Kong: A 10-year survey. Acta Paediatr. 2004, 93, 270–272. [CrossRef][PubMed] 7. Hung, D.Z. Taiwan’s venomous snakebite: Epidemiological, evolution and geographic differences. Trans. R. Soc. Trop. Med. Hyg. 2004, 98, 96–101. [CrossRef] 8. Viravan, C.; Looareesuwan, S.; Kosakarn, W.; Wuthiekanun, V.; McCarthy, C.J.; Stimson, A.F.; Bunnag, D.; Harinasuta, T.; Warrell, D.A. A national hospital-based survey of snakes responsible for bites in Thailand. Trans. R. Soc. Trop. Med. Hyg. 1992, 86, 100–106. [CrossRef] Toxins 2020, 12, 54 12 of 13

9. Zeng, X.; Hu, J.; Liang, X.; Wu, Y.; Yan, M.; Zhu, M.; Fu, Y. Acute cerebral infarction following a snakebite: A case report. Medicine 2019, 98, e15684. [CrossRef] 10. Witharana, E.W.R.A.; Gnanathasan, A.; Dissanayake, A.S.; Wijesinghe, S.K.J.; Kadahetti, S.C.L.; Rajapaksha, R.M.J.K. Sri Lankan green pit viper (Trimeresurus trigonocephalus) bites in Deniyaya: A clinico-epidemiological study. Toxicon 2019, S0041, 30414–30423. [CrossRef] 11. Chotenimitkhun, R.; Rojnuckarin, P. Systemic antivenom and skin necrosis after green pit viper bites. Clin. Toxicol 2008, 46, 122–125. [CrossRef][PubMed] 12. Gowda, R.; Rajaiah, R.; Angaswamy, N.; Krishna, S.; Bannikuppe, V.S. Biochemical and pharmacological characterization of Trimersurus malabaricus snake venom. J. Cell. Biochem. 2018, 119, 5904–5912. [CrossRef] [PubMed] 13. Greene, S.; Galdamez, L.A.; Tomasheski, R. White-Lipped tree viper (Cryptelytrops albolabris) envenomation in an American viper keeper. J. Emerg. Med. 2017, 53, e115–e118. [CrossRef][PubMed] 14. Sivaganabalan, R.; Ismail, A.K.; Salleh, M.S.; Mohan, K.; Choo, T.C.; Adnan, A.; Ariff, A.M.; Mohamed, Z.; Thevarajah, N.; Daud, R.; et al. Guideline: Management of Snakebite Ministry of Health Malaysia, 1st ed.; Ministry of Health Malaysia: Putrajaya, Malaysia, 2017. 15. Tu, Y.Y.; Chen, C.C.; Chang, H.M. Isolation of immunoglobulin in yolk (IgY) and rabbit serum immunoglobulin (IgG) specific against bovine lactoferrin by immunoaffinity chromatography. Food Res. Int. 2001, 34, 783–789. [CrossRef] 16. Ralidis, M.P. Medical treatment of envenomation: A review of the current literature. Top. Emerg. Med. 2000, 22, 16–36. 17. Calvete, J.J.; Sanz, L.; Angulo, Y. Venoms, venomics, antivenomics. FEBS Lett. 2009, 583, 1736–1743. [CrossRef] 18. Jones, B.K.; Saviola, A.J.; Reilly, S.B.; Stubbs, A.L.; Arida, E.; Iskandar, D.T.; McGuire, J.A.; Yates, J.R.; Mackessy, S.P. Venom Composition in a Phenotypically Variable Pit Viper () across the Lesser Sunda Archipelago. J. Proteome Res. 2019, 18, 2206–2220. [CrossRef] 19. Tan, C.H.; Tan, K.Y.; Ng, T.S.; Quah, E.S.H.; Ismail, A.K.; Khomvilai, S.; Sitprija, V.; Tan, N.H. Venomics of Trimeresurus (Popeia) nebularis, the Cameron Highlands Pit Viper from Malaysia: Insights into Venom Proteome, Toxicity and Neutralization of Antivenom. Toxins 2019, 11, 95. [CrossRef] 20. Soogarun, S.; Sangvanich, P.; Chowbumroongkait, M.; Jiemsup, S.; Wiwanikit, V.; Pradniwat, P.; Palasuwan, A.; Pawinwongchai, J.; Chanprasert, S.; Moungkote, T. Analysis of green pit viper (Trimeresurus alborabris) venom protein by LC/MS-MS. J. Biochem. Mol. Toxicol. 2008, 22, 225–229. [CrossRef] 21. Rojnuckarin, P.; Banjongkit, S.; Chantawibun, W.; Akkawat, B.; Juntiang, J.; Noiphrom, J.; Pakmanee, N. Intragumtornchai, Green pit viper ( and T. macrops) venom antigenaemia and kinetics in humans. Trop. Doct. 2007, 37, 207–210. [CrossRef] 22. Wilson, D.; Daly, N.L. Venomics: A mini-review. High-Throughput. 2018, 7, 19. [CrossRef] 23. Whittington, C.M.; Papenfuss, A.T.; Locke, D.P.; Mardis, E.R.; Wilson, R.K.; Abubucker, S.; Mitreva, M.; Wong, E.S.; Hsu, A.L.; Kuchel, P.W.; et al. Novel venom gene discovery in the platypus. Genome Biol. 2010, 11, R95. [CrossRef] 24. Leslie, C.C. Properties and regulation of cytosolic phospholipase A2. J. Biol. Chem. 1997, 272, 16709–16712. [CrossRef] 25. Harris, J.B.; Scott-Davey, T. Secreted phospholipases A2 of snake venoms: Effects on the peripheral neuromuscular system with comments on the role of phospholipases A2 in disorders of the CNS and their uses in industry. Toxins 2013, 17, 2533–2571. [CrossRef][PubMed] 26. Casewell, N.R.; Wagstaff, S.C.; W˝uster, W.; Cook, D.A.N.; Bolton, F.M.S. Medically important differences in snake venom composition are dictated by distinct postgenomic mechanisms. Proc. Natl. Acad. Sci. USA 2014, 111, 9205–9210. [CrossRef][PubMed] 27. De Sousa, M.V.; Morhy, L.; Arni, R.K.; Ward, R.J.; Díaz, C.; Gutiérrez, J.M. Amino acid sequence of a myotoxic Lys49-phospholipase A2 homologue from the venom of Cerrophidion (Bothrops) godmani. Biochim. Biophys. Acta 1998, 1384, 204–208. [CrossRef] 28. Markland, F.S. Snake venoms and the hemostatic system. Toxicon 2000, 36, 1749–1800. [CrossRef] 29. Matsui, T.; Fujimura, Y.; Titani, K. Snake venom proteases affecting hemostasis and thrombosis. Biochim Biophys. Acta 2000, 1477, 146–156. [CrossRef] 30. Iwanaga, S.; Takeya, H. Structure and function of snake venom metalloproteinase family. In Methods in Protein Sequence Analysis; Plenum Press: New York, NY, USA, 1993; pp. 107–115. Toxins 2020, 12, 54 13 of 13

31. Bjarnason, J.B.; Fox, J.W. Snake venom metalloendopeptidases: Reprolysins. Methods Enzymol. 1995, 248, 345–368. 32. McLane, M.A.; Sanchez, E.E.; Wong, A.; Paquette-Straub, C.; Perez, J.C. Disintegrins. Curr. Drug Targets Cardiovasc. Haematol. Disord. 2004, 4, 327–355. [CrossRef] 33. Normand, P. Snake Venom Disintegrins and Cell Migration. Toxins 2010, 2, 2606–2621. 34. Krebs, H.A. The Enzymes, 1st ed.; Delmar Publishers: New York, NY, USA, 1933. 35. Ande, S.R.; Fussi, H.; Knauer, H.; Murkovic, M.; Ghisla, S.; Fröhlich, K.U.; Macheroux, P. Induction of apoptosis in yeast by L-amino acid oxidase from the Malayan pit viper Calloselasma rhodostoma. Yeast 2008, 25, 349–357. [CrossRef][PubMed] 36. Clemetson, K.J.; Lu, Q.; Clemetson, J.M. Snake C-type lectin-like proteins and platelet receptors. Pathophysiol. Haemost. Thromb. 2005, 34, 150–155. [CrossRef][PubMed] 37. Suzuki, N.; Shikamoto, Y.; Fujimoto, Z.; Morita, T.; Mizuno, H. Crystallization and preliminary X-ray analysis of coagulation factor IX-binding protein from habu snake venom at pH 6.5 and 4.6. Acta Crystallogr. Sect. F Struct Biol. Cryst. Commun. 2005, 61, 147–149. [CrossRef][PubMed] 38. Clemetson, K.J.; Clemetson, J.M. Platelet GPIb complex as a target for anti-thrombotic drug development. Thromb. Haemost. 2008, 99, 473–479. [CrossRef] 39. Yamazaki, Y.; Hyodo, F.; Morita, T. Wide distribution of cysteine-rich secretory proteins in snake venoms: Isolation and cloning of novel snake venom cysteine-rich secretory proteins. Arch. Biochem. Biophys. 2003, 412, 133–141. [CrossRef] 40. Peng, M.; Lu, W.; Beviglia, L.; Niewiarowski, S.; Kirby, E.P. Echicetin: A snake venom protein that inhibits binding of von Willebrand factor and alboaggregins to platelet glycoprotein Ib. Blood 1993, 81, 2321–2328. [CrossRef] 41. Fry, B.G.; Vidal, N.; Norman, J.A.; Vonk, F.J.; Scheib, H.; Ramjan, S.F.; Kuruppu, S.; Fung, K.; Hedges, S.B.; Richardson, M.K.; et al. Early evolution of the venom system in and snakes. Nature 2006, 439, 584–588. [CrossRef] 42. Reddy, T.; Gibbs, G.M.; Merriner, D.J.; Kerr, J.B.; O’Bryan, M.K. Cysteine-rich secretory proteins are not exclusively expressed in the male reproductive tract. Dev. Dyn. 2008, 237, 3313–3323. [CrossRef] 43. Yamazaki, Y.; Koike, H.; Sugiyama, Y.; Motoyoshi, K.; Wada, T.; Hishinuma, S.; Mita, M.; Morita, T. Cloning and characterization of novel snake venom proteins that block smooth muscle contraction. Eur. J. Biochem. 2002, 269, 2708–2715. [CrossRef] 44. Brown, R.L.; Haley, T.L.; West, K.A.; Crabb, J.W. Pseudechetoxin: A peptide blocker of cyclic nucleotide-gated ion channels. Proc. Natl. Acad. Sci. USA 1999, 96, 754–759. [CrossRef][PubMed] 45. Stransky, S.; Costal-Oliveira, F.; Lopes-de-Souza, L.; Guerra-Duarte, C.; Chávez-Olórtegui, C.; Braga, V.M.M. In vitro assessment of cytotoxic activities of Lachesis muta muta snake venom. PLoS Negl. Trop. Dis. 2018, 12, e0006427. [CrossRef][PubMed] 46. Kerkkamp, H.; Bagowski, C.; Kool, J.; van Soolingen, B.; Vonk, F.J.; Vlecken, D. Whole snake venoms: Cytotoxic, anti-metastatic and antiangiogenic properties. Toxicon 2018, 150, 39–49. [CrossRef][PubMed] 47. Lewinska, A.; Bocian, A.; Petrilla, V.; Adamczyk-Grochala, J.; Szymura, K.; Hendzel, W.; Kaleniuk, E.; Hus, K.; Petrillova, M.; Wnuk, M. Snake venoms promote stress-induced senescence in human fibroblasts. J. Cell. Physiol. 2019, 234, 6147–6160. [CrossRef][PubMed] 48. Debono, J.; Bos, M.H.A.; Frank, N.; Fry, B. Clinical implications of differential antivenom efficacy in neutralising coagulotoxicity produced by venoms from species within the arboreal viperid snake genus Trimeresurus. Toxicol. Lett. 2019, 316, 35–48. [CrossRef][PubMed]

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